RFP_26_041-Attachment 3_1 of 2_Claims Experience.pdf

PDF 12 KB Posted

Attached to
Multiple Option Dental Program
Solicitation number
RFP 680 26-041/DJ 5
Issued by
Palm Beach County, Florida

About this file

This is a claims experience report for the Palm Beach County Board of County Commissioners' Multiple Option Dental Program, provided by Solstice, a dental plan administrator. The report covers the period from March 1, 2024, through February 1, 2026, and presents claims and premium data across three plan types: PPO (Preferred Provider Organization), PO (Plan Option), and DHMO (Dental Health Maintenance Organization). The data is organized by month and displays subscriber counts, member counts, incurred claims, and premiums for each plan option, allowing the county to evaluate claims experience and utilization trends across the 24-month reporting period.

The report demonstrates varying claims patterns and premium structures across the three dental plan options. PPO claims ranged from approximately $74,900 to $136,355 monthly with corresponding premiums between $93,587 and $126,300, showing the highest claims volatility among the three plans. PO plan claims fluctuated between $26,443 and $49,997 with stable premiums averaging around $39,500 monthly. DHMO claims remained the most stable, ranging from $26,443 to $40,466 with consistent premiums near $37,500 monthly. Notable increases in subscriber and member counts occurred in January 2026 across all plans, suggesting plan growth or enrollment changes during this period. Account management for this dental program is provided by dedicated Account Manager Laura Wicks at Solstice's Plantation, Florida office.

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Other files

File Type Posted
RFP_26_041_Attachment 2_PPO High Plan 11425 summary.pdf PDF
RFP_26_041-DJ_Appendix A_Questionnaire.xlsx XLSX spreadsheet
RFP_26_041_Attachment 2_PPO Premier 11426 summary.pdf PDF
RFP_26_041-DJ_Appendix B Price Proposal Pages 04212026.xlsx XLSX spreadsheet
RFP_26_041_Attachment 2_2022 FL Large Group DPPO Certificate 11426 - PBC Board of County Commissioners.pdf PDF
RFP_26_041_Attachment 2_DHMO S200B PBC Access Enhanced summary.pdf PDF
RFP_26_041_Attachment 2_2022 FL Large Group DPPO Certificate 11425 - PBC Board of County Commissioners.pdf PDF
RFP_26-041-DJ_Appendix D_Option II_DHMO Plan (Enhanced) - draft.xlsx XLSX spreadsheet
RFP_26-041-DJ_Appendix F_Option IV_DPPO High Plan - draft.xlsx XLSX spreadsheet
RFP_26-041-DJ_Appendix E_Option III_DPPO Low Plan - draft.xlsx XLSX spreadsheet
RFP_26_041_Attachment 2_2022 Enhanced_DHMO_FL_Large_Group_DPPO_Certificate_S200B_Access+PBC-PBC_Board_of_County_Commissioners.pdf PDF
RFP_26-041-DJ_Appendix G_Option V_DPPO Premier Plan - draft.xlsx XLSX spreadsheet
RFP_26_041_Attachment 2_DHMO S700B PBC Access + Basic summary.pdf PDF
RFP_26_041_Attachment 2_PPO Low Plan 11424 summary.pdf PDF
RFP_26_041_Attachment 2_2022 Basic_DHMO_Cert.pdf PDF
RFP_26_041-DJ_Appendix H_Dental DPPO Fee and UCR Schedule - draft.xlsx XLSX spreadsheet
RFP_26_041-Attachment 3_2 of 2_13001 - Palm Beach County Supervisor of Elections-PPO DHMO Experience FV.pdf PDF
RFP_26-041-DJ_Appendix C_Option I_DHMO Plan (Basic) - draft.xlsx XLSX spreadsheet
RFP_26_041_Attachment 2_2022 FL Large Group DPPO Certificate 11424 - PBC Board of County Commissioners.pdf PDF
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Text version

April 16, 2026

PBC Board of County Commissioners

Month Sub Member Claims Premium

3/1/2024 2053 3668 $84,308.57 $93,587.66

4/1/2024 2057 3677 $92,508.77 $93,903.18

5/1/2024 2063 3678 $87,402.13 $94,044.14

6/1/2024 2067 3680 $86,762.25 $94,227.08

7/1/2024 2075 3687 $93,783.79 $94,298.26

8/1/2024 2073 3678 $78,513.24 $94,164.46

9/1/2024 2074 3675 $79,248.48 $94,098.96

10/1/2024 2076 3671 $91,110.46 $94,021.56

11/1/2024 2084 3684 $75,314.90 $94,408.02

12/1/2024 2101 3703 $74,909.10 $94,914.40

1/1/2025 2257 3983 $106,030.32 $110,078.88

2/1/2025 2257 3971 $97,956.33 $109,827.00

3/1/2025 2258 3969 $100,410.71 $109,997.90

4/1/2025 2263 3980 $96,441.76 $110,153.98

5/1/2025 2269 3990 $100,113.95 $110,438.52

6/1/2025 2279 4000 $90,359.68 $111,047.36

7/1/2025 2290 4007 $87,952.76 $111,472.16

8/1/2025 2299 4029 $89,043.92 $112,001.28

9/1/2025 2305 4050 $98,926.69 $112,380.04

10/1/2025 2314 4054 $100,593.64 $112,426.96

11/1/2025 2314 4054 $89,157.84 $112,349.90

12/1/2025 2325 4071 $98,774.59 $112,874.40

1/1/2026 2499 4470 $120,288.39 $125,223.36

2/1/2026 2519 4501 $136,355.10 $126,300.76

As a valued client of Solstice, we thank you for your business over the past year. Below is the experience report for date range 3/1/2024-2/1/2026.

PPO

PO Box 19199 * Plantation, FL * 33318 * Tel: 954.370.1700 * Fax: 954.370.1701

Month Sub Member Claims Premium 3/1/2024 2242 4008 $49,997.58 $40,134.76

4/1/2024 2228 3979 $38,301.41 $39,875.76

5/1/2024 2217 3939 $40,331.93 $39,555.48

6/1/2024 2221 3944 $34,205.66 $39,610.50

7/1/2024 2228 3955 $44,460.31 $39,749.62

8/1/2024 2226 3957 $48,338.37 $39,792.14

9/1/2024 2217 3933 $40,060.70 $39,591.78

10/1/2024 2221 3941 $37,537.36 $39,686.38

11/1/2024 2232 3937 $30,738.25 $39,723.20

12/1/2024 2247 3948 $28,192.16 $39,922.30

1/1/2025 2095 3693 $39,669.59 $39,610.22

2/1/2025 2083 3677 $47,509.53 $39,449.52

3/1/2025 2077 3665 $42,827.67 $39,344.08

4/1/2025 2068 3645 $42,026.59 $39,193.66

5/1/2025 2078 3658 $29,489.43 $39,376.54

6/1/2025 2073 3648 $37,216.66 $39,294.80

7/1/2025 2072 3645 $42,682.74 $39,260.68

8/1/2025 2068 3638 $27,330.03 $39,152.82

9/1/2025 2068 3646 $33,736.22 $39,210.10

10/1/2025 2084 3664 $31,653.53 $39,459.84

11/1/2025 2079 3663 $33,412.31 $39,398.30

12/1/2025 2090 3680 $35,082.55 $39,585.88

1/1/2026 1977 3479 $40,466.92 $37,403.32

2/1/2026 1984 3495 $26,443.54 $37,544.96

Should you have any questions regarding your account, please contact your dedicated Account Manager, Laura Wicks at (954) 370-4306.

Solstice Has You Covered!

DHMO

PO Box 19199 * Plantation, FL * 33318 * Tel: 954.370.1700 * Fax: 954.370.1701

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